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CD 2 . SA / 7c < � \ ® S. CD- { / \7 ao ] 8 . CD \ /0 -0 7cn \ I \ 8 U % a % \ / \ § t \ \ P Eg \ » R / \ \ D � / / � 7 7 R / ° (D ] . E\ / 6 ƒ / / / C \ \ . -a / S / / 2 § = m § Em = 0 m mF & ° _ & & e 7 / § - (0 J § 2 � » e \ \ \ ) \0 ° 2 v / /CD _ /= f« \7 § 77 \ \ EG o =3 _ u S // 2 0 / & 00 Vie ] � =3 D ) / � CD?0 7 m / & e E ® E (C) RES Engineering 4091 Dayton Airport Road Shelton,WA 98584 360-427-1949 March 28,2011 Mason County Building Department PO Box 186 Shelton, WA 98584 RE: Foundation elements-Carport @ 4091 Dayton Airport Road Permit Number BLD2010-00834 This letter documents that RES Engineering provided construction bservations during construction of the concrete slab and foundation elements for the subject project I herewith confirms that all foundation elements(which includes the concrete stemwall)are in DMpliance with the approved plans and specifications. ft Sincerely Gary D. Falk P.E d 15 � �ry- lb o CONCRETE MECHANICAL MANUFACTURED HOME C� Footings I Setbacks Date By Ribbons C/) CP Gas Piping 0 C) Interior Date By Interior-Date By Date By 00 co Exter*r Date BY LO)V, Exterior-Date By 00 INSULATION X Point Load I Isolated Footings Date By > Date By Date By BG I SLAB INSULATION FIRE DEPARTMENT 0 Foundation Walls m Floors Date By Date BY Data FA y DECKS F MIN Walls Date By Date 7- Date By By PROPANE TANKS vault Data By PLUM Date BY OTHER Groundwork Attic Date By Date By Type- Date By D.W.V DRYWALL Type, Dr3teBy Int,Brace Wall Date By 00 Date By FINAL INSPECTION (D Water Line Fire Seperation C? Date By Date By Date By O Pass or Request I nspect. 6 CD Type of Insp. Fail Date Date Done By Comments 00 0 0 (D W4- 8 L1 0 :3 .................................. En cn -0 (D ................................. 0 MASON COUNTY PERMIT NO. t BUILDING PERMIT APPLICATION - - 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670- Belfair(360) 275-4467- Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORM N CONTRACTORI ORM IQ `/` / B4 Owner r ' Company Name VrI Z Mailin Address Mailin Ad ress /4 ! a City h r State Zip Code � W City A/ St to 1" Zip Code Phone -2 `Other Ph. Phone q 9 Other Ph. Lien/Title Holder Contractor Reg.#_ t L 5© O�W Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic- Connect t�o/Vj✓ater System Name of Water System Well j Water System Name of Water System PARCEL INFOR. TION- 12 Digit Parcel No i.QQ H Fire District 77 Legal Description Q-U #n: 2U A._ S S -Z f 130 Site Address(Please include street name,street number_and city) 40cl 1 I RY%GA? f4t M t?T f OAQ S Directions to site A j r,x 2 ` ( d."ur g "Q_'4-) Li '-I so&; afj Will timber be cut and sold in parcel preparation?Yes(N-) Is property within 200'of Saltwater a;o Lake & C,y River/Creek w-"0 Pond N U Wetland Alo Seasonal Runoff cyai Stream' Slopes or Bluffs > 15% 00 Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?YestNo 1"4 U TYPE OF JOB -New Add X Alt Repair Other PRIMARY RESIDENCE N SEASONAL ❑ Use of Building � '° Describe Work A 77, No. of Bedrooms No.of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck�—Other Sq.ft. Garage Attached Detached Carport Attached — Detached MANUFACTtt@ED HOME INFORMATION -M ce Model Year Length Serial No.of Bedrooms No.of Bathrooms Type of Heat th Purcha Price$ Replacement Unit? Yes/No Installer Name Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that 1 have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or wok proposed in the application,I have obtained Permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and g on is employees of Mason County access to the above described and structure for review and inspection. PROOF ONTINUATI OF WO IS BY MEANS OF A PROGRESS INSPECTION. X Date O Owner/Ow Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department ../, } Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ecti Plan Review Fee EH Review Eoi Plumbing& Base Fee Planninq Review Fee Mechanical& Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES Nam Parcel# 1 2 ti 0fo j � Q o5 a— BLD# Mason County Department of Community Development Small Parcel Stormwater Management Applicati4/Worksheet (page 1 of 2) Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface'. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. 7Surface"Type Length X Width = Area *All dimensions in feet din s X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X X = Length of drive begins at the right of way X = Parking Areas X = X = Any�aved, gravel or packed area per definition X _ above table PatiosNValks X = X = Any paved, gravel or packed area per definition X _ above table Others X X X t M 75 bQ If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Masora County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page I of 2 41-z Name 1 t— Parcel# �� �� �� �C�BLD# Mason County Department of Community Development Small Parcel Stormwater Management Applicatioin/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction.A complete copy of the ordinance can be fo d on the Mason County website: http//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to "Title 14, Chapter 14.48 Stormwater Management"',' Regulated activities shall be conducted only after Mason County Public Worh approves a Stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will rec i e a copy of the Public Works document entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormw4ter Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites.'1 *These details are found in the document Managing Storm Drainage on Smar l Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGE ENT PLAN FOR THIS SITE A)XThe relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT.450 Mail: P 0 Box 1850, Shelton WA 98 84 Physical:415 N 6th St, Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone: (360)-427-9670 EXT.352 Mail:P 0 Box 1666, Shelton WA 985184 Physical:426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described props for review and in p� iota as may be required. X J/ �74 `; //v Owner/Agent/Contractor(circle one)Date: Page 2 of 2 Request To Revise An Ap roved Plan 22o t o Permit Number: BLD'26$ - ocaa4 Name Parcel Number - - Phone Nu`m—'TerdQiVje (-) Project Address Mailing Address 2"l- N49 O Please provide a co Jete, detailed descri tion of the proposed rev�sions to the approved plans: �. J 0 (A4A4Lq4-D Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No Are the approved site plans included? ❑ Yes ❑ No Are the revisions clearly and accurately identified on the plans or a en um. ❑ Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No Is a stamped and signed approval included with this request" ❑ Yes ❑ No (Note:No structural changes to a"designed"plan will be a roved without the writt consent of the engineer and/or architect of record. Does the proposed revision modify the footprint or location of the s ructure? ❑ Yes ❑ No If Yes, Is a revised site plan, with all new setback dimensions included with this request? ❑ Yes ❑ No Additional Information:' (� Applicant's signature 011L-A F-63t� Date: o — ;10 Ld Office Use Only Received by: Date Sent Assigned To Approved By Date mgLb 3 Original Valuation: $ 3� •. ',1 i Additional Valuation $ Sq. Ft. x$ $ Sq. Ft. x$ $ Total New Valuati $ Additional Fees: Additional Planning Dept. $ Additional Plan Review $ Additional Conditions/Com ents:. Additional Building Permit $ � �,Additional Plumbing $ G' Additional Mechanical $ L. Additional E.H. Dept. $ Other $ Total Amount Due: $ Amount To Be Paid Up-Front$ i N . � U = rm U v -0 �= zr rT1 - (`} Ci uj C G O -u ran o0 v U' r rn �u I 49. 5' m � d I, D x d 3 :K � z 0d C-I n r*l m � C1 D Q 3 ti r �a Z7 -0 z T Z m r j o p m Z r r p Q I D D -P z 0 0 o co lWUl 0 0 0 xq A '�- �